PHTY209 Lecture Notes - Lecture 12: Manual Therapy, Posterior Grey Column, Nociception
Document Summary
Differentiate between the aims of managing acute pain versus managing chronic pain. In acute pain management: goal of therapy aimed at pain reduction, decreasing peripheral inflammatory processes, allowing healing and remodelling, maintaining function and restoring strength, flexibility, endurance. Deactivating brain mechanisms of nociception and pain: list factors which suggest a centrally dominant pain mechanism is present peripherally dominant pain mechanism. Peripheral sensitisation: well localised area of hyperalgesia. Likely to be more associated with acute injury, with damaged and healing tissues (inflammatory driven) and postural pain (ischemic driven). It may also be part of the pain mechanisms in weakened and deconditioned tissues, maladaptive movement patterns in chronic pain states. Manual therapy/therapeutic exercise that has effect on mechanical status of tissues should improve pain i. e. reduce the load, improve mobility (taping, stretching etc. ) Chronic pain - maladaptive adaptations keep the peripheral nociceptive barrage going: Incorrect movement patterns (bending, getting out of chair)
